| NPI | 1326269275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH PATRICK BOLAND Licensed Clinical Psychologist 803-781-4265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: SC sc 442) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2023-08-17 |